Brovman EY, et al. - In this propensity-matched, retrospective cohort study including hospitalized patients, researchers evaluated the overall rates of regional anesthesia (RA)/neuraxial anesthesia (NA) use, as well as the link between RA/NA and mortality and morbidity, compared with general anesthesia (GA), for patients with lower extremity orthopedic trauma. They used the American College of Surgeons National Surgical Quality Improvement Project dataset. Overall 18,467 patients, with nearly 9.58% receiving RA/NA and 89.9% GA as their primary anesthetic, were included. Although RA/NA displayed potential benefits, the reported use of RA/NA for lower extremity trauma was low; RA/NA was received by only 9.58% of patients and spinal anesthesia was received by the majority. This is possibly attributable to surgeon choice to permit for postoperative monitoring for neurologic injury and compartment syndrome or logistical factors, given these trauma cases have an urgent nature. In this study population, 30-day mortality and postoperative complications did not differ significantly between RA/NA and GA. Multiple factors decide the selection of anesthesia in these operations and patient and provider preferences may drive anesthesia selection in these cases.